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Bill Jennings, a 55 year old man, has been using an epinephrine inhaler for asthma for several months. He is attending a community health fair at a local church and you are the nurse taking his blood pressure.
When you take his BP you discover it is 172/94. As you talk to him, he reveals that he has been self-medicating with OTC pseudoephedrine 60mg three times per day for seasonal allergies. Upon further inquiry, Bill reveals that his BP normally runs about 120/80.
1. Discuss the mechanism of action associated with epinephrine.
2. Explain why the increased BP might be related to the drug combination.
3. What patient teaching should be included during this encounter?
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